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Clinical comparison of various esthetic restorative options for coronal build-up of primary anterior teeth.

Duhan H, Pandit IK, Srivastava N, Gugnani N, Gupta M, Kochhar GK - Dent Res J (Isfahan) (2015 Nov-Dec)

Bottom Line: Other than Group III all other groups showed highly significant changes (P < 0.05) in color after 3 months.Discontinuity in anatomic form was seen in all the 4 groups after 9 months although the difference was not significant (P > 0.05).Thus, it has a great potential to be used as esthetic restorative option in primary anteriors.

View Article: PubMed Central - PubMed

Affiliation: Department of Paediatric and Preventive Dentistry, Swami Devi Dyal Hospital and Dental College, Panchkula, Haryana, India.

ABSTRACT

Background: This study was designed to compare the clinical performance of composite, strip crowns, biological restoration, and composite with stainless steel band when used for the coronal build-up of anterior teeth.

Materials and methods: A total of 20 patients aged 3-6 years presenting with mutilated primary anterior teeth due to caries or trauma were selected for the study using randomized simple sampling. A total of 52 primary anterior teeth were randomly divided into four equal groups having 13 teeth in each group. Teeth in Group I were restored with composite, in Group II with strip crowns, in Group III with biologic restoration and with stainless steel band reinforced composite in group IV. The restorations were evaluated for color match, retention, surface texture, and anatomic form according to Ryge's Direct (US Public Health Service) evaluation criteria at baseline (immediate postoperative), after 48 h, 3, 6, and 9 months. The data obtained were statistically analyzed using Chi-square test, and level of significance, that is, P value was determined.

Results: At baseline, none of the groups showed any color changes. Other than Group III all other groups showed highly significant changes (P < 0.05) in color after 3 months. Loss of retention was seen in both Groups I and IV after 3 months. After 6 months, retention loss was seen in all the groups except Group II, in which loss was seen after 9 months (P > 0.05). Deterioration in surface texture was exhibited maximum by restorations in Group IV followed by Group I at 3 months. Whereas, no surface changes were seen in Group II and III. Only Group I and IV showed discontinuity in anatomic form after 3 months. After 6 months, except in Group II, discontinuity in anatomic form was observed in all the groups. Discontinuity in anatomic form was seen in all the 4 groups after 9 months although the difference was not significant (P > 0.05).

Conclusion: Biological restoration was found to be most satisfying esthetically owing to color compatibility with the patient's tooth. Thus, it has a great potential to be used as esthetic restorative option in primary anteriors.

No MeSH data available.


Related in: MedlinePlus

Group I – (a) preoperative (b) composite restoration in 51.
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Figure 2: Group I – (a) preoperative (b) composite restoration in 51.

Mentions: Following the tooth preparation, the shade was selected using Vitapan classical shade (GmbH & Co. KG, Germany) guide under natural light. Tooth surface was then air dried and self-etch adhesive system (Optibond All-in-One, Kerr Comp., USA) was applied and cured for 15 s. Incremental build-up for reconstructing[1415] and shaping with nanoparticle hybrid composite (Premise, Kerr Comp., USA) was carried out. After checking the occlusion, and the removal of any interference, final polishing of the restorations was performed with polishing disks and polishing strips (Shank FG, Shofu Inc., Japan) [Figure 2].


Clinical comparison of various esthetic restorative options for coronal build-up of primary anterior teeth.

Duhan H, Pandit IK, Srivastava N, Gugnani N, Gupta M, Kochhar GK - Dent Res J (Isfahan) (2015 Nov-Dec)

Group I – (a) preoperative (b) composite restoration in 51.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4696361&req=5

Figure 2: Group I – (a) preoperative (b) composite restoration in 51.
Mentions: Following the tooth preparation, the shade was selected using Vitapan classical shade (GmbH & Co. KG, Germany) guide under natural light. Tooth surface was then air dried and self-etch adhesive system (Optibond All-in-One, Kerr Comp., USA) was applied and cured for 15 s. Incremental build-up for reconstructing[1415] and shaping with nanoparticle hybrid composite (Premise, Kerr Comp., USA) was carried out. After checking the occlusion, and the removal of any interference, final polishing of the restorations was performed with polishing disks and polishing strips (Shank FG, Shofu Inc., Japan) [Figure 2].

Bottom Line: Other than Group III all other groups showed highly significant changes (P < 0.05) in color after 3 months.Discontinuity in anatomic form was seen in all the 4 groups after 9 months although the difference was not significant (P > 0.05).Thus, it has a great potential to be used as esthetic restorative option in primary anteriors.

View Article: PubMed Central - PubMed

Affiliation: Department of Paediatric and Preventive Dentistry, Swami Devi Dyal Hospital and Dental College, Panchkula, Haryana, India.

ABSTRACT

Background: This study was designed to compare the clinical performance of composite, strip crowns, biological restoration, and composite with stainless steel band when used for the coronal build-up of anterior teeth.

Materials and methods: A total of 20 patients aged 3-6 years presenting with mutilated primary anterior teeth due to caries or trauma were selected for the study using randomized simple sampling. A total of 52 primary anterior teeth were randomly divided into four equal groups having 13 teeth in each group. Teeth in Group I were restored with composite, in Group II with strip crowns, in Group III with biologic restoration and with stainless steel band reinforced composite in group IV. The restorations were evaluated for color match, retention, surface texture, and anatomic form according to Ryge's Direct (US Public Health Service) evaluation criteria at baseline (immediate postoperative), after 48 h, 3, 6, and 9 months. The data obtained were statistically analyzed using Chi-square test, and level of significance, that is, P value was determined.

Results: At baseline, none of the groups showed any color changes. Other than Group III all other groups showed highly significant changes (P < 0.05) in color after 3 months. Loss of retention was seen in both Groups I and IV after 3 months. After 6 months, retention loss was seen in all the groups except Group II, in which loss was seen after 9 months (P > 0.05). Deterioration in surface texture was exhibited maximum by restorations in Group IV followed by Group I at 3 months. Whereas, no surface changes were seen in Group II and III. Only Group I and IV showed discontinuity in anatomic form after 3 months. After 6 months, except in Group II, discontinuity in anatomic form was observed in all the groups. Discontinuity in anatomic form was seen in all the 4 groups after 9 months although the difference was not significant (P > 0.05).

Conclusion: Biological restoration was found to be most satisfying esthetically owing to color compatibility with the patient's tooth. Thus, it has a great potential to be used as esthetic restorative option in primary anteriors.

No MeSH data available.


Related in: MedlinePlus